Provider Demographics
NPI:1902864739
Name:AGGARWAL, ANOOP (MD)
Entity Type:Individual
Prefix:DR
First Name:ANOOP
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 13TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-5067
Mailing Address - Country:US
Mailing Address - Phone:563-243-2511
Mailing Address - Fax:253-243-0817
Practice Address - Street 1:915 13TH AVE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-5067
Practice Address - Country:US
Practice Address - Phone:563-243-2511
Practice Address - Fax:253-243-0817
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31829207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0157123Medicaid
18965OtherMIDLANDS CHOICE
033579OtherHEALTH ALLIANCE
27186OtherIOWA HEALTH SOLUTIONS
41035OtherWELLMARK BC/BS
IA0171OtherJOHN DEERE HEALTH
18965OtherMIDLANDS CHOICE
18965OtherMIDLANDS CHOICE
IA41035Medicare PIN
41035OtherWELLMARK BC/BS